Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $61.54 / $132.36	Professional		$26.36	$61.54	$132.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $68.12 / $148.86	Professional		$30.73	$68.12	$148.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $28.07 / $28.07	Professional		$25.26	$28.07	$28.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $73.25 / $144.74	Professional		$28.06	$73.25	$144.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $112.69 / $135.22	Professional		$95.79	$112.69	$135.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $83.00 / $162.80	Facility		$32.86	$83.00	$162.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $130.00 / $183.89	Professional		$85.00	$130.00	$183.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $38.99 / $54.64	Facility		$29.93	$38.99	$54.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $100.04 / $148.34	Professional		$71.63	$100.04	$148.34
United Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $71.27 / $117.42	Professional		$42.49	$71.27	$117.42